8. A patient with a seizure disorder is exposed to a person with tuberculosis. The patient is taking phenytoin (Dilantin) and prophylactic isoniazid (INH). Based on the interaction of the medications, the nurse anticipates that the effect of phenytoin will be:

12. Nystatin (Mycostatin), a polyene antifungal drug, is frequently administered as an oral suspension for Candida infection in the mouth. Client instruction regarding the administration of nystatin is to:

a.

dilute the oral suspension with water and then swallow the solution.

b.

drink the oral suspension and follow with 4 ounces of water.

c.

drink the oral suspension but do not follow with fluid or food.

d.

swish the liquid in the mouth and then swallow or expel the suspension.

ANS: D

Contact with the infected lesions is ensured by the client swishing the liquid in the mouth and then swallowing or expelling the suspension.

15. A client is receiving IV caspofungin (Cancidas) for a severe Candida infection. During an infusion of the dose, the nurse notes a reddened area along the vein tract, and the client complains of pain. What is the highest priority nursing intervention?

a.

Stop the infusion.

b.

Speed up the infusion.

c.

Administer an analgesic during the infusion.

d.

Elevate the infusion extremity above the heart.

ANS: A

Redness and pain along the vein tract may mean phlebitis. The IV infusion must be discontinued.

17. A client is being treated with multidrug therapy for acute tuberculosis. The drug regimen includes streptomycin. What will be the highest priority nursing intervention while the client is being treated with streptomycin?

19. The client is being treated withketoconazole. He tells the nurse that he frequently self-medicates with echinacea. The highest priority instruction that the nurse should give the client is that the combination of the two medications:

a.

should enhance the action of the ketoconazole.

b.

should diminish the action of the ketoconazole.

c.

may result in hepatotoxicity developing.

d.

may result in nephrotoxicity developing.

ANS: C

The combination of ketoconazole and echinacea may result in hepatotoxicity.

21. The nurse is instructing the client on the proper way to self-administer nystatin. The client tells the nurse that he has been simply drinking a small amount of the medication from the bottle. The nurse explain to the client that the medication dosage should consist of 1 to 2:

a.

teaspoons, swished and then swallowed.

b.

teaspoons, swished and then expelled.

c.

ounces, swallowed twice daily.

d.

ounces, used to swab the oral cavity.

ANS: A

Nystatin is given as 1 to 2 teaspoons that is swished in the oral cavity and then swallowed.